What are the nursing priorities at this time?
What will be an ideal response?
The priorities at this time are to ensure an adequate airway, maintain ventilation, support adequate
circulation, and prevent further injury.
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The nurse assesses a patient's bowel patterns and stools after he has returned from a barium enema study. Which of the following findings based upon the assessment of the stool will the nurse report to the physician?
A) Large, wide stools B) Milky white stools C) Three stools during an 8-hour period of time D) Stools with streaks of blood throughout the fecal material
The nurse is teaching a client with infertility about the medication clomiphene (Clomid). Which client statement indicates that teaching has been effective?
A) "This medication stimulates gonadotropin-releasing hormone." B) "This medication stimulates follicle-stimulating hormone (FSH)." C) "This medication stimulates luteinizing hormone (LH)." D) "This medication increases my estrogen levels so I can ovulate."
The nurse finds a patient unresponsive in bed. After assessing that the patient is breathing and has a pulse, the nurse raises the head of the bed and measure the oxygen saturation level. Which aspect of the wisdom-in-action framework did the nurse demonstrate?
A) Setting B) Environment C) Personal factor D) Insight and intuition
The registered nurse (RN) caring for an HIV-positive patient admitted with tuberculosis can delegate which action to unlicensed assistive personnel (UAP)?
a. Teach the patient about how to use tissues to dispose of respiratory secretions. b. Stock the patient's room with all the necessary personal protective equipment. c. Interview the patient to obtain the names of family members and close contacts. d. Tell the patient's family members the reason for the use of airborne precautions.